Active NPI
Kristine Lynn Webb, LPC
- Professional Counselor
- Manchester, CT
National Provider Identifier
1497768816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1179
- Practice address
- 13 Middle Tpke E
Manchester, CT 06040-4249 - Phone
- (860) 432-1718
- Fax
- (860) 649-2484
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1179 | CT | Primary |
Addresses
Primary practice location
13 Middle Tpke E
Manchester, CT 06040-4249
Mailing address
13 Middle Tpke E
Manchester, CT 06040-4249
Phone (860) 432-1718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004222139 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497768816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 MIDDLE TPKE E",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404249",
"telephone_number": "860-432-1718",
"fax_number": "860-649-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MIDDLE TPKE E",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404249",
"telephone_number": "860-432-1718",
"fax_number": "860-649-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "KRISTINE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "1179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004222139",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.